We are happy to announce that on Monday, April 4th, we will start welcoming all clients back into the building with your pets! We will also continue to offer services curbside, if that suits you best.
A mask is not required, but still strongly recommended per L.A. County Department of Public Health. IMPORTANT: If you are experiencing any flu, cold or COVID like symptoms- we ask that you refrain from coming inside the clinic.
Please be sure to enter all information below and click “Submit” for the form to be emailed to us PRIOR to your appointment. Required information is marked with an asterisk* and form cannot be submitted unless all required information is entered.
Thank you to all the clients that have continued to let us care for your fur babies during these times, we appreciate your flexibility and understanding.
QUESTIONS REGARDING COVID19
Reason for Visit: (check all that apply)
EXAM/TREATMENT PLAN: I understand that the veterinarian will first examine my pet
and call me to get authorization of an itemized treatment plan PRIOR to moving forward with any procedures or treatments on my pet. I acknowledge that I am the owner or appointed caregiver and will be giving verbal authorization for treatments by phone.
EAR CLEANING/MEDICATIONS: While it is exceedingly rare to have any form of complication(s) with the recommended treatment(s), I understand that there is an inherent risk to using any medication and/or ear cleaner and that these products do have the potential to cause temporary or permanent hearing loss. I give my consent to proceed with ear cleaning and/or medication if indicated after examination.
SEDATION/ANESTHESIA: I understand that it can pose a risk to my pet, regardless of
health status. I give permission to have anesthesia or sedation administered and take
reasonable measures in treating my pet in the event of unforeseen circumstances.
** If sedation/anesthesia is deemed necessary in order to examine or treat your pet, you will be contacted PRIOR so that you are aware of the need before it is administered.
URGENT CARE: If urgent care becomes necessary for the health of my pet, I understand that the staff will make every effort to contact me as time allows. If I cannot be contacted, I authorize any and all treatments as determined by the veterinarian and accept all charges that are incurred as a result of such action.
I understand that payment must be made if full at the time of pick up, and I am aware that Western Veterinary Group, and DOES accept cash, credit cards, Care Credit, and ScratchPay, and DOES NOT accept personal checks.